Bryanna Victoria Lum Ho Kanae, QBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4760 S Pecos Rd Ste 104
Las Vegas, NV 89121-5828

Phone

(702) 930-9335

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1962904771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828",
            "telephone_number": "702-930-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM HO KANAE",
        "first_name": "BRYANNA",
        "middle_name": "VICTORIA",
        "credential": "QBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anyuza Lukmanova
• Norbert Rene Lukowski, D.C.
• Elizabeth Lule
• Lullabies LLC
• Lulu Sexual Medicine PLLC
• Cindy F Lum-Kawasaki, OD
• Corey Jonathan Lum, D.O.
• Elizabeth Lum
• Isabella R Lum, RBT
• Michael Lawrence Lum, O.D.

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.